1216 Balsam Tr ECITY OF EAGAN Remarks
Addition Wilderness Park Lot 21 kik 1 Parcel 10 84250 210 01
Owner street 1216 East Ba2.sam 'I'razl srtate Fagan.N1 m_5K.12.3.
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTaR.
GRADING
SAN SEW TRUNK a\ 1971 1,6 8.80 2
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM 5EW TRK
STORM 5EW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 320.00 1181 9-22-75
PER, 2 11 9-22-7
sac 2.00 1181 9-22-7
PARK
° CITY of EAGAN
BUILDING PERMIT
. .. ... . .. .. ......... . .. . .. . .. ................................_....
Ownes .... ....: ... '. . . .
Addross (Dresan2) ..... /.......... 79...1 ......... :j?:.......(./.:?.`:....................._..._...
Builder ..... ? ?c?':`.?. _ ...............................
.........?......... ...... ...............................................................
Addreae ?
DESCRIPTION
r:i4
N2 3692
3795 PiloY Knob Road
Eagan, Minaesola 55122
454•8300
Dafs ...... y.. .Y? ?- ?.?-
..........
.............
Sloriea To He Used Foz Fron! Depih Haight Eal. Cost armi! Fe Remaska
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TION
33reel. Road or olher De6csipllon ot LoCaIlon I LOt J31oc6 AaCltlon or 1'sacs
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This permit does nof avlhorfse the vse of stxeefs, roads, alleys or sidawalks nor doas it give !6e ownar or hfe agant
the righf !o cseale anp situetion which is a nuisenee or which presenia a hazard fo the heallh, aafetp, eonveaieaee and
geaeral welfare !o anyoae in the communify.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WOAK IS IN PAOG SS.
Tids ia !o cerfifp, lhat.?"`'`??'? ...has permissioa !o ereet
a. . ??''L" .-`?.?.. ?..??.'."..:`..".?'.?.?_upoa
-'°°......--"-'--°---.......--° .. ...... .... ..... ........... . ....
the above described premise subjeti io the pxovisions of all applicable Ordinances for the C p of Eegan
..........
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... ........ .!. : Per ..._..................................."" '-..
......'-"....-`Mayor . ;6 BuAding Inapeetos ?
Z?7?n?? -? or:
'rn?l? "Frlr an
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zaenr., t.ilni;esota 551?3
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DELMAR H. SCHWANZ
LANDSURVEVOR
fie9isleretl Untler Laws of The State of Minnesota
iDO'h MAIN STREET P.O. BOX M
• ROSEMOUNT, MINNESOTA 55068 • PHONE 612 423-1769
SURVEYOR'S CERTIFICATE
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? h?rat,vi certi'.'y that, th_'^ '_s a t,nce and correc± reprpsPn0t!^r, ot p -urv. v it t
3(,?.tndarie= o:' thp follrnrinp describei'd trect of la:x?:
Tot ?l, Plnck 1 accordiag te the recnrded nlat of 1,TT'DPRt1FSS VAR4' V^'l"^•,
'7ity o1' Faqnn, ')akota Coun+y, Vtnnasota.
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MINNESOTA REGISTRA710N N0.6625 ??
MASTER CARD
STRUCTURE AND I ? qsx9t + ? ?? ??
LAND USED AS r?
Permit
No.
Issued Issued To
Contrattor Owner
BUILDING Z
I-?--/?
PWMBING oil u rr•
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING 7?S
GAS INSTALLING
SANI7ARY SEWER? / I ? V ??
OTHER I
OTHER I
Items Appraved
(Initial)
Date
Remarks
Distance From Well
FOOTI NG SE PTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
PINAL
ELECTRICAL '
HEATING DEPTH
OF WEIL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PWMBING 3
WEIL
SANITARY SEWER
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Violations Noted
on Back
COMMENTS:
fAGAN
nuU
v WATER SERVICE PERMIT
_..
.
3795 Pilot Knob Road PERMIT NO.:
i
Eagan,MN 55122
DATE: 1_2/1i/15
Zoning: _BII No. of Units:
owner:'"°r'^h Const for G. Mooxe
Address:
Site Addre__. 1216 E Ba15am Trdi L21 Bl W P
Plumber: W. MuzY P1tIDthlnq _
M ter ? ? .1 Connection Chazge: 320.00 Dd
Si e: Account Deposit:
Reader No.: a 9 7 Permit Fee: 10,00 Dd
1 ogrea ro fo?npl ith iha Villaga oi Eagan Surcharge: . 50 Pd
p.dinunuy j] )?O Misc. Charges: _6o•. D0?d
Total: gy Date Paid: '
Date of Insp.: Insp.: 1???
n:&.,OE 4F EAOAN SEWER SERVICE PERMIT
3795 Piler Knob Road PERMIT NO.: 2648
Eaqon, MN 55122 DATE: 12J10/75
Zoning: RiI No. of Units: 1
Owner: Marich Gbnst. forGary Moore
Addrees:
Site Addmes: 1216 E. Balsam '1'rail L21 Bl W. Pk. Addn.
Plumber: Murr Plumbing
I oyrae ro eomply wieA the V{Ilage of Eagan Connection Charge: 425.00 pd 9/22
Ordimn"s. Account Deposid
Permit Fee: 10.00 pd
Surcharge: • 50 pd
BY: Misa Chazgee:
Date of Insp.: Total:
lnap.: Date Paid:
d7i - / L<J
CITY OF EAGAN
3795 Pilot Knab Road
Eagant Minnesota 55122
PERNIIT NO.: 639
The City of Eagan hereby grants to Wm• Murr Plumbing Co., Ince
ap 112 So. (7oncord St., So. St. Paul
a PLiTGffiING . Permit for: (Owner) Idarich Conat. (G. Moorfl)
at 1216 E. Balsem Trail ? pursuant to application dated 12/3/75
Fee Paid: $20.00 dated this 10 day of Dec• 1915
•
.50 8 C
Buildirig Inspector
Mechanical Permits:
Bid Total:
zi-1 Cj,?-?t?. i
C?TY OP' EACAN
3795 F'i.lot Knob Foad
Eagan, Minnesota 55122
PEPdvIIT NO.: 775 '
The City oi E.sgan her.eby gra.nts 'o Fredrickson Heatin4 & A/C
oF 4030 Beau d'Rue Drive
ajWATINCPe'rmit i'or: (Owme'r) Marich Constsuction
at ,___ 1211A - =-is m m_raiL P'arsuant to appl.ication dated 12/14L5 __,
r-° 20.00 de:ted this _U- day of __ n..c. .,19,.75__
.50 s/c
FS7111CIlfig Ii;:.?,T'.i°C'i,OY'
Ntechanical Permits:
Bid Total:
al - lI w, PK- ? st
On Wednesday, June 23, 1982, Gary Moore of 1216 E. Balsam Trail called the
Building Znspection Gepartment. He spoke to Doug Reid, Assistant Huilding
Official. He had a complaint about a two-story playhouse heing built at the
Georqe Sanborn residence, 1212 E. Balsam Trail. He asked that a record of this
oomplaint be kept on file for both addresses noted above.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119076
Date Issued:11/14/2013
Permit Category:ePermit
Site Address: 1216 Balsam Tr E
Lot:021 Block: 001 Addition: Wilderness Park
PID:10-84250-01-210
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Chris Haqq
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael Mellskog
1216 Balsam Tr E
Eagan MN 55123
(651) 366-7324
Abelard Construction
6200 Shingle Creek Parkway, #545
Brooklyn Center MN 55430
(763) 503-6610
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA136996
Date Issued:06/10/2016
Permit Category:ePermit
Site Address: 1216 Balsam Tr E
Lot:021 Block: 001 Addition: Wilderness Park
PID:10-84250-01-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael Mellskog
1216 Balsam Tr E
Eagan MN 55123
(651) 366-7332
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature